Laserfiche WebLink
.tWrq c SAN JOAQUIN COUNTY <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ... �P. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> gtrFa.RN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 41 Date: <br /> Address: CJ 5 City: Zip Code: <br /> Owner/Operator: Lo <br /> f l—r Telephone: <br /> JrProgram Element: Qi!� Program Record: PC O S7 S Inspection Type: <br /> B1 <br /> 80 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AR CORRECTIVE ACTIONS <br /> IV <br /> 6> 91 L.t 4t <br /> � e2 <br /> fffi <br /> O � t <br /> tn/Locatlo - r Temperature Item 1 Location Temperature <br /> 8 d Safety Certification Facility blot Water Temperature Warawashin <br /> Name: — - Hand Sink: of Chlorine: PPM Heat: OF <br /> Exp.Date: v arewashing Sink: of uat.Amm.: ppm Other: OF <br /> I <br /> eceived By/Title:H Specialist: Phone: <br /> ime in: Time Out: I r Page 11) <br /> FOOD PROGRAM OIR CONT3NUATiON <br /> EHD 16-24 (21 pg) 4013 <br />